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Demographic and dietary determinants of the association between dietary fibre intake and obesity in Japanese adults with type 2 diabetes

A cross-sectional study (JDDM 78)

Bibliographic Data

ID15091586
AuthorsEfrem d’Avila Ferreira (0000-0003-0901-3804, Niigata University), Mariko Hatta (0009-0006-3804-916X, Niigata University), Khin Laymon (0009-0005-9185-7812, Niigata University), Laymon Khin (Niigata University Medical and Dental Hospital), Izumi Ikeda (0000-0003-4724-9607, Niigata University), Mizuki Takeuchi (0009-0008-3452-6218, Niigata University), Yasunaga Takeda (0000-0002-1071-8417, Niigata University), Sakiko Yoshizawa Morikawa (0000-0002-1657-3140, Tokushima Bunri University), Chika Horikawa (0000-0003-4213-0252, Niigata University), Noriko Kato (0000-0002-5715-214X, Kato Clinic of Internal Medicine), Hiroshi Maegawa (0000-0002-4611-8149, Shiga University of Medical Science), Kazuya Fujihara (0000-0001-6725-4169, Niigata University), Hirohito Sone (0000-0003-1263-2817, Niigata University, corresponding author)
Year2025
Volume28
Issue1
Pagese49-e49
Publication date2025-01-01
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s136898002500014x
PMID39901432
OpenAlexW4407118297
LanguageEN
References cited29

Objective: To evaluate the association between dietary fibre intake and obesity in Japanese outpatients with type 2 diabetes, as well as the demographic and dietary factors influencing this association. Design: Cross-sectional study with nationwide registry data on Japanese type 2 diabetes outpatients (2014–2019). Diet was self-reported via a FFQ. Obesity was defined as BMI ≥ 25 kg/m 2 . Setting: Clinics throughout Japan. Participants: 1565 Japanese outpatients with type 2 diabetes (63·1 % men; age range 30–89 years). Results: Multivariate analysis revealed that a higher dietary fibre intake was associated with a lower risk of obesity in all participants (95 % CI = 0·439, 0·795, P trend = 0·002). Stratified analysis showed a significant inverse association between fibre intake and obesity in men and the older age groups (59–89 years), but not in women or the younger age group (30–58 years). In men, higher fibre intake was associated with healthier lifestyle behaviours, including increased physical activity ( P P Conclusion: Higher fibre intake was associated with lower obesity risk, particularly in men and older age groups. These findings emphasise the need for targeted public health initiatives promoting the intake of diverse fibre-rich foods to effectively manage obesity. Further research is needed to understand sex- and age-specific factors in the fibre–obesity relationship in diverse populations

Cross-sectional study · Diabetes mellitus · Dietary fiber · Environmental health · Micronutrient · Obesity · Type 2 diabetes · Demography · Medicine · Nutrition and Health in Aging · Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Endocrinology · Food Science · Gerontology · Internal Medicine

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Highly citedNo

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